Carrying the Burden: Informal Care Requirements by Caregivers of Children with Intestinal Failure Receiving Home Parenteral Nutrition - 12/11/22
Abstract |
Objective |
To measure the time that caregivers spend on tasks related to providing care to their child with intestinal failure receiving home parenteral nutrition (PN).
Study design |
We conducted an exploratory cross-sectional study of caregivers of children with intestinal failure receiving long-term PN followed by our intestinal rehabilitation program. Caregivers completed a daily diary of care-related tasks. Data were analyzed using descriptive statistics. Exploratory models were completed to evaluate factors that influenced the amount of time that caregivers spent providing care. SAS University Edition 2018 (SAS Institute, Cary, NC) was used for data analysis with a P value of less than .05 considered significant.
Results |
Thirty-four caregivers of children with intestinal failure consented with response rates of 85%. The mean age of the primary caregiver was 37 ± 7.9 years of age with 97% being the child’s mother. The median PN exposure was 1239 days (IQR, 432-3012). Caregivers reported a median of 29.2 hours per week (IQR, 20.8-45.7 hours per week) of direct medical care. The majority of time was spent on providing PN and care of the central venous catheter (6.1 hours; IQR, 5.2-8.8).
Conclusions |
Caregivers of children with intestinal failure receiving long-term PN provide a significant amount of care to ensure their child remains healthy at home. The most significant amounts of time were spent on the administration of the PN and care of the central venous catheter.
Le texte complet de cet article est disponible en PDF.Keywords : short bowel syndrome, parenteral nutrition, caregiver burden, intestinal failure, pediatrics, informal caregiving
Abbreviations : CVC, CMC, IRP, PN
Plan
Portions of this study were presented as an oral presentation during the American Society for Parenteral and Enteral Nutrition meeting, March 2022, Seattle, Washington. |
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The authors declare no conflicts of interest. |
Vol 250
P. 75 - novembre 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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